Chat with Dr. Kat

Dr. Kat Derrig-Palumbo
  • 5.0 (2)
  • Mental Health

With over 25 years of experience as a licensed psychologist, Dr. Kat was one of the pioneers of online therapy. She launched one of the first virtual platforms, MyTherapyNet.com, long before telehealth became the norm. She is the author of Online Therapy: A Therapist’s Guide to Expanding Your Practice, and has taught thousands of therapists through her lectures for AAMFT, CAMFT, and other national and international psychological associations. She has also served as a consultant for The Dr. Phil Show, bringing her expertise to a national audience. Now, through Chat with Dr. Kat, she shares the moments that spark the kind of clarity people have been searching for — sometimes for years. Her gift is helping people finally “get it” — to break through in ways they never have before. Whether it’s parenting struggles, relationship dynamics, emotional healing, communication challenges, or what’s happening in the world around us, Dr. Kat brings insight, compassion, and real talk that leads to real change.

  1. 3d ago

    You're Not Failing — Parenting a Child with ADHD Is Just This Hard

    Parenting a child with ADHD can feel like you're failing every single day — the meltdowns, the walking on eggshells, the guilt at bedtime — even when you're trying everything you've been told to try. Dr. Kat talks with Dana Kay, board certified holistic health and nutrition practitioner and founder of the ADHD Thrive Institute, who came to this work not as a professional first, but as a mom whose young son was headed toward a fourth medication before she started asking different questions. The conversation moves through what those different questions actually look like in practice: how ADHD symptoms can be signals of internal stress rather than just a brain disorder, why the gut-brain connection matters more than most families are told, what Dana calls the "trash can" analogy for understanding a child's cumulative toxic load, and where supplements like magnesium, omega-3s, and vitamin D fit in — and where they don't. Dr. Kat adds her own clinical experience, including a child whose ADHD symptoms disappeared once a wheat and dairy sensitivity was identified. Whether your child was diagnosed last year or you've been managing this for a decade, this episode offers a way to think about the whole picture that most appointments never get to. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  2. Jul 8

    Numbing Grief with Alcohol Until a Dog Changed Everything

    When you lose someone to sudden violence, the mind doesn't know what to do with that much pain — so sometimes you just try to drown it. LaShawnda lost her 21-year-old son Tyshawn to a random shooting in Cleveland in January 2023, eight days before his birthday. For roughly a hundred days after, she drank a fifth of tequila daily, lost sixty pounds, and — by her own honest account — barely knew how she was getting through each day. It was Tyshawn's dog, visibly wasting away, that finally broke through. Dr. Kat and LaShawnda talk through what grief actually looks like when it has no clean edges — the anger directed at the person you lost, the numbness that can look like functioning, and the slow erosion of a sense of self. Dr. Kat walks through how the brain attaches to pain as a form of problem-solving, why grief can make you feel like you've lost all agency, and how rebuilding starts not with healing but with small, deliberate choices. If you've ever found yourself just existing rather than living, this conversation will feel familiar. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  3. Jul 3

    Is Long Term Care Insurance Worth It? Most Families Get This Wrong

    Most people don't think about long-term care until they're already in the middle of a crisis — a parent who can't bathe alone, a spouse recovering from surgery, a sibling who quietly stopped going to work to help out. By then, the choices feel much smaller. Raymond Lavine, a long-term care insurance specialist, joins Dr. Kat to talk about why so many families get caught off guard and what it actually costs — financially and emotionally — when there's no plan in place. The conversation covers what long-term care insurance actually is (and how it differs from health insurance), the real meaning of the "sandwich generation" squeeze, and why having a plan is fundamentally about preserving choice. Dr. Kat shares her own experience caring for her mother, and Raymond walks through options that range from modest monthly premiums to asset-transfer plans, including policies that allow you to pay family members as caregivers. If you've ever felt like this conversation belonged to someone older, or someone with more money, or someone else entirely — this episode is worth your time. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  4. Jul 1

    Why Doesn't My Partner Listen to Me (Make Them Watch This)

    You've done everything you thought was kind — and somehow it still isn't what they asked for. That's the friction at the center of this episode: the gap between doing *something* and doing *the thing your partner actually asked for*. Dr. Kat walks through her "Paint the Room Yellow" framework — what it means when a partner gives you a clear, direct request and you respond with something else entirely, even something generous. She talks through why that dynamic breeds resentment, how the defensive reaction ("nothing I do is ever enough") keeps the cycle going, and what it actually looks like to follow the roadmap someone hands you. She also speaks directly to the person who keeps asking: how specific to be, when to let go of how it gets done, and why the room needs repainting over time. If someone in your life handed you this episode, that itself is worth paying attention to. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  5. Jun 26

    7 Menopause Symptoms No One Talks About — Are You Missing Them?

    Many women reach menopause already exhausted — from decades of managing everyone else's needs — and then find themselves blindsided by symptoms they never connected to hormones at all. Frozen shoulder. Middle-of-the-night spiraling. A sudden, low-tolerance for anything that doesn't feel right. No one warned them, and the silence around it can make the whole experience feel isolating and shameful. Meredith Gonzalez, founder of the Hive Women's Collective and a self-described midlife concierge, joins Dr. Kat to talk honestly about why that silence exists and what changes when women stop navigating it alone. They discuss the emotional weight of feeling stuck in a body and a life that no longer responds the way it used to, the unexpected role of play and nature in reclaiming mental clarity, and why journaling — even messy, 3am scribbling — can quiet the spiral. If you're somewhere in the middle of all this, wondering why your usual strategies have stopped working, this conversation is worth your time. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  6. Jun 23

    Dog Etiquette in Public Places Some Owners Get Wrong

    You love your dog. The problem is, not everyone around you does — and figuring out how to navigate that gap without feeling like you have to choose between your dog and basic social harmony is genuinely tricky. Dr. Kat walks through the real situations where dog owners — even well-meaning ones — tend to get it wrong: restaurants, grocery stores, neighborhood walks, dog parks, having guests over, and the question of cleaning up properly (yes, including the pee on the pillar). She's not anti-dog — far from it — but she makes a case for reading the room on your dog's behalf, knowing when your dog isn't ready for a particular environment, and understanding that the people around you have legitimate feelings too. If you've ever been the dog owner in an awkward moment, or the person quietly uncomfortable with someone else's, this one is worth your time. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  7. Jun 18

    How Teachers Should Handle Behavior Problems — And Why Most Don't

    Most childcare centers open at 7 and close at 6. If your schedule doesn't fit that window — or your child needs more than a standard classroom can offer — you're largely on your own. Antoinette Elliott, founder of All Our Children Elite Child Care Academy in Georgia, built her school around exactly that gap: extended hours until midnight, nature-based learning, vegetarian meals, and a staff trained in crisis prevention through the Marcus Autism Center's model, which teaches teachers to look beneath behavior rather than react to its surface. In this conversation, Antoinette and Dr. Kat get into what that actually looks like — using personality assessments to build compatible teaching teams, coaching staff to ask "what happened before?" instead of sending children home, and communicating with parents in plain language at the end of the day rather than a one-word app update. If you've ever felt like a school was working against your child instead of with them, or like your family's reality didn't fit the mold, this episode names what's been missing. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

  8. Jun 17

    Physical Symptoms of Grief Nobody Warns You About

    Grief shows up in the body in ways most people don't expect — the nausea, the joint pain, the sleep that won't come, the memory that keeps slipping. When you're in the middle of it, those physical symptoms can feel alarming, even confusing, especially when no one told you this was part of it. Dr. Kat walks through the emotional, physical, and cognitive dimensions of grief, explaining why the brain locks onto loss the way it does and what that "rabbit hole" spiral actually looks like neurologically. She covers both the five-stage Kübler-Ross model and a seven-stage framework that includes shock and guilt, and makes clear that moving through stages out of order — or circling back — is completely normal. She also broadens what grief can mean: a miscarriage, a layoff, a marriage ending, a child not getting into their first-choice school. And she introduces the "Yellow Room" as a way of understanding grief that builds quietly inside a relationship that isn't working. If you've been carrying something heavy and couldn't quite name all of it, this episode helps. I want to hear from you!  To submit show ideas or be considered as a guest, visit https://chatwithdrkat.com/contact/ Follow Chat with Dr. Kat: Facebook:  https://www.facebook.com/chatwithdrkat Instagram: https://www.instagram.com/chatwithdrkat YouTube: https://www.youtube.com/@chatwithdrkat TikTok: https://www.tiktok.com/@chatwithdrkat X:  https://x.com/ChatwithDrKat Health & Wellness Programs: https://mindbodyseries.com/

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Ratings & Reviews

5
out of 5
2 Ratings

About

With over 25 years of experience as a licensed psychologist, Dr. Kat was one of the pioneers of online therapy. She launched one of the first virtual platforms, MyTherapyNet.com, long before telehealth became the norm. She is the author of Online Therapy: A Therapist’s Guide to Expanding Your Practice, and has taught thousands of therapists through her lectures for AAMFT, CAMFT, and other national and international psychological associations. She has also served as a consultant for The Dr. Phil Show, bringing her expertise to a national audience. Now, through Chat with Dr. Kat, she shares the moments that spark the kind of clarity people have been searching for — sometimes for years. Her gift is helping people finally “get it” — to break through in ways they never have before. Whether it’s parenting struggles, relationship dynamics, emotional healing, communication challenges, or what’s happening in the world around us, Dr. Kat brings insight, compassion, and real talk that leads to real change.

Information

  • Creator
    Dr. Kat Derrig-Palumbo
  • Years Active
    2025 - 2026
  • Episodes
    51
  • Rating
    Explicit
  • Copyright
    © 2026 Dr. Kat Derrig-Palumbo
  • Show Website
    Chat with Dr. Kat